Concluded Case

12yr old child came today with pain abdomen with a h/o blunt truama(fell on rock against abdomen). On exploratory laparotomy,two parallel small perforation seen 20cm proximal to ileocaecal valve.resection and anastomoses done in single layer.irrigated and explored lesser sac,subphrenic spaces,parabolic gutter etc,respected specimen sent for HPE.let’s hope for his recovery

12yr old child came today with pain abdomen with a h/o blunt truama(fell on rock against abdomen). On exploratory laparotomy,two parallel small perforation seen 20cm proximal to ileocaecal valve.resection and anastomoses done in single layer.irrigated and explored lesser sac,subphrenic spaces,parabolic gutter etc,respected specimen sent for HPE.let’s hope for his recovery

(Edited)

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Concluded answer

Patient is stable,took diet,passed urine and stool,wound infection present,doing dressing.regularly,drain removed.(kyshaibortyn mawlat )

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Perforation terminal ileum Yes exploration and end to end anastomosis is right step Keeping control and monitoring of vitals will recover him fast Well done

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POST TRAUMATIC .. INTESTINAL OBSTRUCTION .. VERY WELL MANAGED .. WITH .. SURGICAL INTERVENTION.. GOOD GOB .. SIRJI ..

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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Post traumatic perforation of terminal ileum. Exploration and end to end anastomosis well done cover of broad-spectrum antibiotics and Needs further monitoring and regular evaluation of pts condition. Keep updating.

Thanks Dr Pushkar Bhomia
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Congratulations Sir, your case very much an educative post for me. Thank you Sir for your valuable sharing.

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Multiple fluid levels,suggestive of intestinal obstruction.well managed.

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Very well done surgery Surely there will be good outcome

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Nicely managed

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Intestinal obstruction Large intestine Opinion of surgeon with Laparoscopy repair

Check for hypokaelemia
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Unfortunate incident but u managed nicely. Hope pt will be Ok now following post operative management.

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